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1215309828
CHANTEL AMBROSE
MONROE, LA
NPI
1215309828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-22
Last Update Date
2018-08-14
Business Address
CHANTEL AMBROSE
3908 HARVEY ST
MONROE, LA 71203
Phone number: 318-608-6373
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Mailing Address
CHANTEL AMBROSE
3908 HARVEY ST
MONROE, LA 71203-5742
Phone number: 318-608-6373
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